NPI | 1134893217 |
---|---|
Doing Business As | OQUIRRH MOUNTAIN PHARMACY WEST VALLEY |
Entity Type | Organization |
Authorized Contact | MICHELLE DENAE SPECKMAN Manager 801-403-4934 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-08-30 |